Patient self-management support: novel strategies in hypertension and heart disease.

Journal Article (Journal Article;Review)

Cardiovascular diseases (CVDs) have become the leading cause of death and disability in most countries in the world. This article addresses how patient self-management is a crucial component of effective high-quality health care for hypertension and CVD. The patient must be a collaborator in this process, and methods of improving patients' ability and confidence for self-management are needed. Successful self-management programs have often supplemented the traditional patient-physician encounter by using nonphysician providers, remote patient encounters (telephone or Internet), group settings, and peer support for promoting self-management. Several factors need to be considered in self-management. Given the health care system's inability to achieve several quality indicators using traditional office-based physician visits, further consideration is needed to determine the degree to which these interventions and programs can be integrated into primary care, their effectiveness in different groups, and their sustainability for improving chronic disease care.

Full Text

Duke Authors

Cited Authors

  • Bosworth, HB; Powers, BJ; Oddone, EZ

Published Date

  • November 2010

Published In

Volume / Issue

  • 28 / 4

Start / End Page

  • 655 - 663

PubMed ID

  • 20937448

Pubmed Central ID

  • PMC3763915

Electronic International Standard Serial Number (EISSN)

  • 1558-2264

Digital Object Identifier (DOI)

  • 10.1016/j.ccl.2010.07.003


  • eng

Conference Location

  • Netherlands